Mauricio Antezana
Mauricio Antezana is a Student in an Organized Health Care Education/Training Program in Atlantis, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and New York.
- Licensed in
- FL, NY
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
115 John F Kennedy DrAtlantis, FL 33462-1152
Phone: (561) 967-3513
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 111 E 210th St, Bronx, NY 10467-2401 — (718) 920-4321
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN22246 (FL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (NY) |
Record details
| NPI number | 1063876399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2016 |
| Last updated in NPPES | July 21, 2022 |
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